上颌前牙牙槽骨基部的应用解剖研究

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本课题对人颅骨50个100侧上颌前牙牙槽骨进行测量,测量项目包括上颌前牙根尖到梨状孔下界的距离,上颌前牙根尖上5mm处牙槽骨的厚度,梨状孔的宽度及两侧尖牙牙槽窝远中骨壁间距,对所删数据进行统计学处理,计算数学期望值。本研究结果提示:①尖牙至梨状孔的距离明显小于中切牙及侧切牙;②根尖上牙槽基骨厚度,中切牙与侧切牙,侧切牙与尖牙P<0.01,中切牙与尖牙,P<0.05;③牙槽骨基部的厚度尖牙最厚,中切牙次之,侧切牙再次之;④梨状孔宽均数24.36mm,两侧尖牙间距均数36.17mm,两者之差平均11.50mm。梨状孔与尖牙间距之间比较P<0.01,差异有非常显著意义,尖牙间距明显大于梨状孔宽。结合所测数据对上颌前牙牙槽骨某些常规手术,如牙外科正畸术,上颌前部截骨术,人工牙种植术,根管内固定术术式进行分析,提出手术注意事项及上颌前牙牙槽骨基部解剖形态对手术的指导意义。 In this project, 50 100-sided maxillary anterior teeth alveolar bone of human skull were measured. The measurement items included the distance from the root tip of the maxillary anterior teeth to the lower boundary of the pear-shaped hole, the thickness of the alveolar bone 5mm above the root tip of the maxillary anterior teeth, And on both sides of the canine alveolar fossa far distance between the bone wall, the deleted data were statistically processed to calculate the mathematical expectations. The results of this study suggest that: (1) the distance between the canine and the piriform hole is significantly less than that of the incisor and the lateral incisor; (2) the root thickness of the alveolar bone, the incisors, the lateral incisors, the lateral incisors and the canines are less than 0.01 , The incisors and canines, P <0.05; ③ the thickness of the alveolar bone at the base of the canine thickest, followed by the incisor, lateral incisors again; ④ average pore-shaped hole length of 24.36mm, both sides Cantilever spacing average 36.17mm, the difference between the two on average 11.50mm. Pitch between pear-shaped hole and canine P <0.01, the difference is very significant, canine spacing was significantly larger than the pear-shaped hole width. Combined with the measured data of the maxillary anterior alveolar bone of some conventional surgery, such as orthodontics orthodontics, maxillary anterior osteotomy, artificial tooth implantation, root canal internal fixation operation type analysis, put forward surgical considerations and maxillary The guiding significance of the anatomy of the alveolar base of anterior teeth to the operation.
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